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	REMM Site Map What Kind of Emergency? Radiological Dispersal Devices (RDDs) Radiological Exposure Devices (REDs) Nuclear Explosions: Weapons, Improvised Nuclear Devices Nuclear Reactor Accidents Transportation Accidents Involving Radiation Discovering an Event Identify Types of Radiation Events Radiological vs. Nuclear Event Initial Event Activities Initial Onsite Activities National Council on Radiation Protection and Measurement (NCRP) Radiation Protection Guidelines: Control of Radiation Dose in the Control Zones International Atomic Energy Agency (IAEA) Emergency Worker Turn-back Dose Guidance Conference of Radiation Control Program Directors, Inc. (CRCPD) Turn-back Exposure Rates and Dose Guidelines International Commission on Radiological Protection (ICRP) Guidance for Occupational Exposure Explaining Protective Actions and Protective Action Guides (PAGs) Three Phases of the Response to an RDD or IND Triage Guidelines START Adult Triage Algorithm JumpSTART Pediatric Triage Algorithm Establishing Patient Handling Flow Hospital Activities Other Audiences First Responders in the Field Mental Health Professionals Hospitals Hospital Incident Command System Public Information Officers Radiation Safety and Protection Response Planning Practices and Drills Pet Owners About This Site What Are the Goals of This Site? Who Produced This Site? Disclaimers List of Consultants Join REMM ListServ Contact Us: Provide Site Feedback Download REMM to Your Computer Installing REMM on Mac System Requirements (e.g., Allow Pop-ups) Animations, Illustrations, Photos Radiation Concepts Learn the Basics: Video: Radiation Principles (HHS/CDC) Video: Types of Ionizing Radiation and Shielding Required (HHS/CDC) Contamination External Contamination Full Body Partial Body Wound Contamination with Radioactive Shrapnel Internal Contamination via Respiratory Tract via Digestive Tract via Radioactive Dust in Open Wounds Internal Contamination to Iodine-131 Through Ingestion Incorporation Exposure Whole Body Partial Body Dose Rate Effect of Radiation Exposure Types of Ionizing Radiation and Shielding Required Radiation Shielding Alpha Radiation Beta Radiation Becquerel Electromagnetic Radiation: Ionizing and Non-ionizing Decay Rate/Half-life of Radioisotopes Atomic Number and Atomic Mass Decontamination Use of Shower for External Decontamination Decontamination Facilities and Procedures Video: Decontamination of Children (HHS/AHRQ, Children's Hospital Boston) Personal Protective Equipment Tyvek® Suit Used by Responders During External Decontamination of Victims Radiation Survey Equipment Video: Screening People for External Contamination: How to Use Hand-held Radiation Survey Equipment — 4 videos about the equipment and how to use it. (HHS/CDC) Personal Dosimeter Acute Radiation Syndrome Time/Dose Effects of ARS Time Phases of ARS Time to Onset of Vomiting and Dose Hematopoietic Subsyndrome Treatment Radiation Effect on Blood Counts Lymphocyte Depletion Kinetics Graph (used to estimate whole-body dose) Radiation Effects on Blood Counts (1) Radiation Effects on Blood Counts (2) Chromosome Aberrations: Dicentric Chromosomes Conventional Lymphocyte Metaphase-Dicentric Assay Scoring of Dicentrics Video: Cytogenetic Biodosimetry Process (REAC/TS) Radiation Safety Factors That Decrease Radiation from Exposure Types of Ionizing Radiation and Shielding Required Video: Types of Ionizing Radiation and Shielding Required (HHS/CDC) Personal Protective Clothing Tyvek® Suit Used by Responders During External Decontamination of Victims Examples of Radiation Signs and Symbols for Work Areas, Buildings, Transportation of Cargo Radiation Survey Equipment Personal Dosimeter Gallery of Radiation Survey Meters/Detection Devices - Civilian Example of Radiation Survey Equipment: CV-700 Example of Radiation Survey Equipment: Ludlum kit Video: Screening People for External Contamination: How to Use Hand-held Radiation Survey Equipment — 4 videos about the equipment and how to use it. (HHS/CDC) How to Perform a Survey for Radiation Contamination Body Chart for Recording Results of Radiation Survey (PDF - 49 KB) Clinical Pictures How to Recognize and Initially Respond to an Accidental Radiation Injury (PDF - 436 KB) Thermal Skin Burns: Example after Nuclear Blast Cutaneous Radiation Syndrome - Gallery of Clinical Photographs (Flash - 11 MB) Radiation Control Zones Establish Patient Handling Flow National Council on Radiation Protection and Measurement (NCRP) Radiation Protection Perimeter Guidelines Definition of Radiation Area Boundaries Control Zone in the Emergency Department Prototype for Zones to Handle Staff/Patients in Medical Facility at Mass Casualty Incident Nuclear Explosions Nuclear Explosion: Mushroom Cloud Radioactive Plume How Energy Is Dispersed after Nuclear Explosion: Approximate Zones of Damage after Nuclear Explosion: Generalized Blast Range and Significant Effects Estimated Fallout Pattern from Nuclear Air Burst Factors That Affect Fallout Fallout: Relative Rate of Decline of Radioactive Activity after Nuclear Explosion How Blast Injuries Cause Trauma Flash Blindness Retinal Burn Thermal Skin Burns: Example after Nuclear Blast How Buildings Provide Shielding from a Nuclear Explosion How Nuclear Explosions Affect Dwellings: Examples Size of the Event and Potential Affected Areas Radiological Dispersal Devices (RDDs) Dirty Bomb: Radiological Dispersal Device Using Explosive Dispersal of Radioactive Material by Aircraft RDD: Major Pathways of Release and Interaction Dirty Bombs: Slates, B-roll, and Sound Bites for Broadcast Media Use (HHS/CDC) Radiological Exposure Devices (REDs) - Hidden Sealed Source Hidden Sealed Radioactive Source (Radiological Exposure Device) in Train Car Miscellaneous Sample of Triage Tag for Radiation Incident (PDF - 127 KB) Patient Management Choose Appropriate Algorithm: Evaluate for Contamination and/or Exposure Contamination: Diagnose/Manage Decontamination Procedures Managing Internal Contamination Caution and Comments about Radiation Countermeasures for Treatment Ammonium Chloride Ca-DTPA/Zn-DTPA Calcium Calcium Gluconate Dimercaprol Potassium Iodide (KI) Follow-up for Patients Exposed to I-131 Potassium Phosphate, Dibasic Propylthiouracil Prussian Blue Sodium Alginate Sodium Bicarbonate Exposure: Diagnose/Manage Acute Radiation Syndrome Diagnosis Frequency of Serial CBCs with Differential and Platelet Count Radiation Effects on Blood Counts (1) Radiation Effects on Blood Counts (2) Dose Reconstruction Targeted Physical Examination Dose Estimator (Biodosimetry Tools) Explaining Biodosimetry Management Warning Messages for ARS Manage Subsyndromes of Acute Radiation Syndrome Response Category of Acute Radiation Syndrome - Overview Treat Acute Radiation Syndrome Hematopoietic Subsyndrome Treatment Hematopoietic Countermeasures Guidelines for Use of Antiemetics Time Phases of ARS Time/Dose Effects in ARS Cutaneous Radiation Syndrome Simulated Radiological Exposure Device (RED) on Skin Illustrating Dose Attenuation Gallery of Clinical Photographs (Flash - 11 MB) Exposure + Contamination No Contamination or Exposure Multi-organ Injury, Multi-organ Dysfunction Syndrome, Multi-organ Failure: A New View of Whole Body Radiation Effects Strategic National Stockpile Management Modifiers Burn Triage and Treatment: Thermal Injuries Radiation + Trauma (Combined Injury) Mass Casualty Psychological Issues Specific Populations Tools and Guidelines Dose Estimator (Biodosimetry Tools) Template for Hospital Orders in a Radiation Event Use of Blood Products Follow-up Instructions for Individuals Involved in a Radiological/Nuclear Event Population Monitoring Management of the Deceased Develop a Radiation Response Plan Equip an Emergency Department for Decontamination New Users: Where Do I Start? Initial Learning Objectives for New Users of REMM Print Algorithms & Tables Reference/Data Center Training and Education Dictionary of Radiological Terms Animations, Illustrations, Photos Emergency Contacts 24-Hour Regional Emergency Number Abbreviations Understanding Radiation Sources of Radiological/Nuclear Information Radiation Event Medical Management Printed Publications About Radiation Events Isotopes and Countermeasures Nuclear Weapons, Improvised Nuclear Devices, and Radiological Dispersal Devices Pregnancy, Infants, and Children Hematologic Suppport Late Effects of Low Levels of Ionizing Radiation Radiation Skin Effects Civilian Government Agencies Military Government Resources International Agencies with Radiological Expertise Professional Group Publications Public Health Issues National, State, and Hospital Planning Radiation Safety Radiation Emergency Assistance Center/Training Site (REAC/TS) Information Federal Protective Action Guides (PAGs) for Radiation Events History of Radiation Events Algorithms and Interactive Tools Patient Management Algorithms Evaluate for Contamination and/or Exposure Contamination: Diagnose/Manage Exposure: Diagnose/Manage Acute Radiation Syndrome Exposure + Contamination No Contamination or Exposure Triage Algorithms START Adult Triage Algorithm JumpSTART Pediatric Triage Algorithm Event Management Algorithms Discovering an Event Identify Types of Radiation Events Establish Patient Handling Flow Prototype for Zones to Handle Staff/Patients in Medical Facility at Mass Casualty Incident Interactive Tools Dose Estimator (Biodosimetry Tools) Manage Subsyndromes of Acute Radiation Syndrome Quick Links New Users: Where Do I Start? REMM Quick Tour (Flash video - 13 minutes) What's New on REMM Patient Management Algorithms Print Algorithms & Tables Isotopes of Interest Countermeasures Decontamination Procedures Dose Estimator for Exposure Manage ARS Subsyndromes Multi-organ Injury, Multi-organ Dysfunction Syndrome, Multi-organ Failure: A New View of Whole Body Radiation Effects Hematopoietic Subsyndrome Cutaneous Radiation Syndrome Time/Dose Effects in ARS Time Phases of ARS Strategic National Stockpile Animations, Illustrations, Photos Dictionary Emergency Contacts Download REMM Download Mobile REMM

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